- Highmark Health (Charleston, WV)
- …all the Organization's value-based programs for both the commercial and government business (ACA, Medicare STARS, Medicaid HEDIS , risk revenue). + Function ... is a highly skilled subject matter expert (SME) in Medicare STARS, Medicaid HEDIS and risk revenue streams and provides strategic, hands-on, office based support to… more
- Humana (Oviedo, FL)
- …Rating categories - including but not limited to Healthcare Effectiveness Data and Information Set ( HEDIS ), Patient Safety, and Patient Experience. The Nurse ... put health first** The Nurse Senior Stars Improvement, Clinical Professional/ Consultant contributes to the development, implementation, and management of the… more
- Two95 International Inc. (New York, NY)
- Job Title: Sr. Analytics Consultant Job type : Remote Work Type : 6+ Months Contract with extension Rate : $Market /Hour Requirements Job Description: Primary ... the mutual goals and value based contracts, conduct assemble information and perform analyses to quantify baseline performance, identify...your job would be to: * Understand the client's business goals well-enough to ensure the SOW will meet… more
- Elevance Health (Cincinnati, OH)
- **Wellness Nurse Consultant ** **Sign on Bonus: $5000** **Field:** This field-based role enables associates to primarily operate in the field, traveling to client ... will drive the future of health care. The **Wellness Nurse Consultant ** position is responsible for developing and recommending customized, group-specific strategies… more
- Evolent (Helena, MT)
- …selves to work. That's one reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ... **Senior Analyst, Healthcare Analytics Consultant ** The Client Analytics team provides a unique opportunity to collaborate with key business , analytics, product,… more
- Public Consulting Group (Jefferson City, MO)
- …are seeking a senior-level, detail-oriented and self-motivated Medicaid Waiver Evaluation Consultant to join our team. This role involves analyzing large healthcare ... for quality measures and key performance indicators (KPIs). + Document business processes and analytical methodologies to ensure transparency and repeatability. +… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …we serve through our Healthsource blog: https://healthsource.premera.com/ . As a **Pharmacist Consultant ** , you will interact with our clinical and sales teams ... is a great opportunity for someone looking to combine clinical knowledge with the business side of pharmacy, as well as analytical individuals who love to dig into… more
- LA Care Health Plan (Los Angeles, CA)
- …This person needs to quickly gain working knowledge of LA Care Domain Business Practices and Information Technology Solutions, including the identification of ... how each System (Commercial or Custom) capability meets the Processing and Information requirements to implement business functions effectively * Be aware… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …management, and medical policy processes, and support for our various lines of business . The incumbent also provides input into the development of policies, programs ... in person meetings. + Serves as a resource and consultant to other areas of the company. + May...timely distribution and education related to departmental and Ethics/Compliance information . + Regular and reliable attendance is expected and… more
- CenterWell (Seneca, SC)
- …directed by the Market CMO + Maintaining confidentiality of all patient information according to both state and federalguidelines and regulations + Maintaining ... Knowledge of Medicare guidelines and coverage. + Knowledge of HEDIS quality indicators + Good understanding of best practice...to appropriately share and use your knowledge to improve business results. + Problem Solving: You are a problem… more
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